Kerala's Tryst
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n Kerala’s Tryst with COVID 19 Psycho social support APP to combat fake news “Break The Chain” Campaign Batting and prepping for foreign arrivals Patient Rout Map Plan C- Preparing for Stage 3 Quarantine Comfort Enhanced internet connectivity Resource Management Mid-day meal delivery Officials Field visits Awareness among migrant workers Screening Sanitizer Production COVID Control Teams Use of Robot Contact Tracing Food Security and Nutrition IEC Materials Social Distancing Checking rail and road entry points Mask production by women SHGs Batting and prepping for foreign arrivals Volunteers for Help Daily Press Conferences 1 | Kerala’s Tryst with COVID 19 Kerala’s Tryst with COVID 19 Co ntents Role of KSDMA Role of Health Department Screening Contact Tracing Hospital Based and Home-Based Quarantine Working with the LSGIS/ Kudumbasree/ Jails/ CBOs For Better Resource Management Social Distancing Educational Institutions Food Security and Nutrition Plan C- Preparing for Stage 3 State Level Corona Virus Control Teams Up Information Sharing Break The Chain Campaign Screening, Mask Utilization Use of Robot Route Maps Quarantine Comfort Psycho-Social Support / Focus on Mental Health Visits from Govt Officials Daily Press Conferences Increasing Internet Connectivity Sanitiser Production App to Combat Fake News Mid-Day Meal Delivery Checking Rail and Road Entry Points Awareness Among Migrant Workers Enlisting Volunteers for Help Batting and Prepping for Foreign Arrivals 2 | Kerala’s Tryst with COVID 19 t is, perhaps, rightly said that every reports of the infection in China started disaster is an opportunity. This has been coming in. The initial area of concern was the I proved apt for Kerala, backed by the safe return of the medical students from experience of two successful battles with the Kerala, studying from Wuhan and the Nipah Virus, in its current tryst with the delegates returning from official visits to globally feared Corona Virus or the COVID-19. China. The protocols for screening were The protocols for screening, tracking immediately put into place and the returnees contacts, systematic testing and limiting quarantined till proved negative. social contacts through quarantining, has stood Kerala in good stead, in its current The pro-active measures taken up by the grapple with the cross border biological State of Kerala covered a gamut of sectors, hazard. are worth showcasing as a success story, especially in the preliminary phase. The Both, Kerala State Disaster Management document is collection and compilation of Authority (KSDMA) and the Department of information from different sources and Health and Family Welfare, were in constant news. touch right from early January, when the first 3 | Kerala’s Tryst with COVID 19 with the help of Health Department and communicated through website and social media groups in the form of print material, sign language and audio visuals ROLE OF HEALTH DEPARTMENT Protocols & Advisories: a. The Department of Health and Family ROLE OF KSDMA: Welfare has been regularly bringing out a. Preliminary information on the viral Advisories on protocols on surveillance, infection in Wuhan, China issued by testing, screening, home based and KSDMA to Directorate of Health Services hospital- based quarantining and (DHS) based on message in National discharge. Each Advisory is based on the Disaster Management group on 19 current risk assessment and emerging January 2020. Need for public health matters of concern. surveillance was flagged to DHS b. The Dept of Health and Family Welfare b. Query from Ms. Neethu Rajan, IFS, Indian has also brought out two advisories for Embassy Beijing dated 29-01-2020, the Tourism Sector, one for the regarding China returnees attending Department of Animal Husbandry and public functions in India was flagged to one for the Education Sector Additional Director (Public Health) and c. The Advisory for the AH Dept assigns the advisory on ban on China returnees responsibility of providing for feed, attending public function in India, was fodder and water for the cattle/ animals/ issued through DHS pets owned by the people under c. KSDMA State Executive Committee quarantine. Apart from the food security meeting notified Coronavirus as ‘State of the animals, the AH Dept is also Specific Disaster, designating Kerala responsible for monitoring the health of Health Department as the Nodal the animals and ensuring timely action. Department supported by Disaster d. The advisories for the tourism sector Management Department through its initially only related to international/ response mechanism and SDRF. The National visitors who had arrived from/ declaration as State Specific Disaster was transited through Wuhan/ China. Later, done to ensure that the entire machinery this Advisory was updated to include all of the state would be used for the international travelers and National containment of the virus. Travellers who had come/ transited d. However, subsequently on 07-03-2020, through high risk places as specified by declaration of Coronavirus as ‘State WHO. Specific Disaster’ was withdrawn after e. The Advisory for the Education Sector Health Department informed that the talks about dealing with children who likelihood of transmission and spread of have been in direct or indirect contact infection from the primary imported with the high-risk group of people, either cases has reduced. at hospital or at home. e. Funds, roughly amounting to rupees eight crore was allotted to Department of Health and Family Welfare for the provision of procurement of equipment and supplies that would help in the containment of the virus. f. Information on Dos and Dont’s of Coronavirus infection was developed 4 | Kerala’s Tryst with COVID 19 3. HOSPITAL BASED AND HOME-BASED QUARANTINE: a. Guidelines have been issued on the periods of quarantine recommended, based on high risk and low risk people. b. These Guidelines also specify the discharge protocols. 1. SCREENING: a. Screening was initially only for people 4. WORKING WITH THE LSGIS/ coming in from Wuhan/ China or any of KUDUMBASREE/ JAILS/ CBOS FOR the affected countries as specified by the BETTER RESOURCE MANAGEMENT: WHO Bulletins. a. Kerala has successfully co-opted the b. However, this was changed by early LSGIs for seamless monitoring of those March, when universal screening was put under surveillance or home-based in place at Airports quarantine. Such people are regularly c. Currently, there is screening at all mass contacted and supports provided, if need transportation centres, including Bus be. The people under self- quarantine are Stations and Railway Stations contacted regularly and all supports provided, including counselling support. 2. CONTACT TRACING b. The shortage of masks had started a. With previous experience of virus becoming a matter of concern, till the H & FW Dept roped in the jail authorities containment at hand, the state health and got the jail inmates to start stitching department initiated a massive tracking of masks. Some groups of Kudumbasree exercise to trace a person who met newly are also involved in making of masks. infected people. c. The Kerala Drugs Centre has started mass b. At the panchayat level, Asha and production of low- cost hand sanitisers. ‘kudumbashree’ workers have been All their staff have been involved in shifts asked to track if any people in their for producing these hand sanitisers respective areas have come from abroad. 5. SOCIAL DISTANCING “Our officials traced those who It has been reported that China could have cut their virus infected deaths by returned to Kerala from infected areas half if they had pursued non- and isolated them even if they had pharmaceutical approaches like social minor symptoms. Some others were distancing. Kerala took steps early and home quarantined. Trained health ensured enforced social distancing workers were deployed to assist them. through the following steps: It was all a team effort. Luckily, Kerala has a team of duty-bound officials and experts who managed the situation with extreme dedication and courage,’’ state health minister Shailaja told HuffPost India earlier this month. 5 | Kerala’s Tryst with COVID 19 6. FOOD SECURITY AND NUTRITION Food Security and nutrition was considered, and arrangements made to ensure people did not suffer needlessly. a. Anganwadi noon meals: Asha Workers and the Anganwadi Teachers were tasked with ensuring that the noon meals were supplied to the children at home. EDUCATIONAL INSTITUTIONS This was mainly as week long dry rations. Cancelled classes for all educational b. People under self-quarantine: LSGIs institutions, except for the conduct of th th st were tasked with ensuring that food 10 and 12 examinations, till the 31 of supplies/ raw materials were made March. Pro-active measures were taken available to the people in self- quarantine to ensure that students who had fever/ at homes. cough or other symptoms, or were from homes with people under quarantine, 7. PLAN C- PREPARING FOR STAGE could attend these examinations in The State is already gearing up to face separated class rooms with all due Phase 3, if need be. precautions. a. The Department has already floated adverts for more such para-medical or ANGANWADIS medically trained personnel to All anganwadis, nursery schools, day-care st strengthen field level surveillance and centres etc. are closed till 31 March. monitoring. b. They have identified additional facilities, OTHER PUBLIC SPACES especially private hospitals at Cinema Halls, Health Centres, Gyms, decentralized levels that can hold more Swimming Pools etc were closed until patients under surveillance/ isolation. further notice. Strict instructions were They have also identified other unused given on keeping social functions, facilities, that can, in a pinch, be used for especially marriages, low-key with not housing the affected. many invitees. Religious functions could be conducted but only the ritual without 8. STATE LEVEL CORONA VIRUS the accompanying feasts. Churches and CONTROL TEAMS UP Mosques were requested to reduce their Apart of the Special Cell that has been prayer time to half an hour.